The nurse is caring for a preschool child with suspected diabetes ...

[sammy]

The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation should the nurse expect to observe?
 
  a. Oliguria
  b. Glycosuria
  c. Nausea and vomiting
  d. Polyuria and polydipsia

Question 2

The nurse is conducting a staff in-service on childhood endocrine disorders. Diabetes insipidus is a disorder of:
 
  a. anterior pituitary.
  b. posterior pituitary.
  c. adrenal cortex.
  d. adrenal medulla.

[anyusername12131]

Answer to Question 1

ANS: D
Excessive urination accompanied by insatiable thirst is the primary clinical manifestation of diabetes. These symptoms may be so severe that the child does little other than drink and urinate. Oliguria is decreased urine production and is not associated with diabetes insipidus. Glycosuria is associated with diabetes mellitus. Nausea and vomiting are associated with inappropriate antidiuretic hormone (ADH) secretion.

Answer to Question 2

ANS: B
The principal disorder of posterior pituitary hypofunction is diabetes insipidus. The anterior pituitary produces hormones such as GH, thyroid-stimulating hormone, adrenocorticotropic hormone, gonadotropin, prolactin, and melanocyte-stimulating hormone. The adrenal cortex produces aldosterone, sex hormones, and glucocorticoids. The adrenal medulla produces catecholamines.